Blood pressure alone not enough to determine heart risk

Source: British Heart Foundation

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Date of publication: January 2012

Publication type: News item

In a nutshell: A meta-analysis published in the Lancet has shown that a difference in systolic blood pressure of 15mm Hg between the left and the right arm indicated an increased risk of peripheral vascular disease. More research is needed to assess whether measuring blood pressure on both arms to assess vascular disease risk should become standard practice.

Length of publication: 1 webpage

Some important notes: Please contact your local NHS library if you cannot access the full text. Follow this link to find your local NHS library.

Acknowledgement: The Lancet

Calls for 24-hour blood pressure monitoring

Source: National Institute for Health and Clinical Excellence

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Date of publication: August 2011

Publication type: News item

In a nutshell: NICE is now recommending that hypertension should be diagnosed using ambulatory blood pressure monitoring (ABPM) over a 24 hour period. ABPM involves a mobile blood pressure monitor that straps around the patient’s waist and measures blood pressure numerous times over 24 hours. This is a change to the existing guidelines.

Length of publication: 1 webpage

Some important notes: Please contact your local NHS library if you cannot access the full text. Follow this link to find your local NHS library.

NHS failing to screen for deadly heart condition

Source: National Institute for Health and Clinical Excellence

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Date of publication: January 2011

Publication type: Press release

In a nutshell: 100.000 people are at risk of developing familial hypercholesterolaemia (FH) as trusts fail to act on NICE guidelines which call for early diagnosis. A UK-wide audit found that very few families were systematically genetically screened for the inherited condition.

Length of publication: 1 webpage

Some important notes: Please contact your local NHS library if you cannot access the full text. Follow this link to find your local NHS library.

Simplified Framingham model of coronary risk misdiagnosing millions

Source: British Journal of Healthcare Computing and Information Management

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Date of publication: 16th September 2010

Publication type: Journal article

In a nutshell: Reports on US research which cautions  that the Framingham model, when used in a simplified form as a points-based clinical tool, has been shown to significantly over-estimate CVD risk in many, and under-estimate in some. There is a risk that significant numbers of patients may have been under- or over-treated through having been incorrectly assessed. The original model, although more complex, is much more accurate, and should be used in preference to the points-based tool.

Length of publication: 1 web page

Some important notes: Please contact your local NHS library if you cannot access the full text. Follow this link to find your local NHS library.

iPhone app ‘detects arrhythmia’

Source: Healthcare Republic

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Date of publication: August 2010

Publication type: News item

In a nutshell: The charity Arrhythmia Alliance, has launched an iPhone application called ‘Know Your Pulse’, which aims to detect signs of cardiac arrhythmia and therefore improve diagnosis. Users record their own pulse reading over 30 seconds and are then advised on whether they are suffering from an irregular or unusually fast or slow heartbeat. The Arrhythmia Alliance campaign aims to raise awareness of arrhythmia, and also remind healthcare professionals of the importance of conducting regular pulse checks during routine patient check-ups.

Length of publication: 1 webpage

Some important notes: Please contact your local NHS library if you cannot access the full text. Follow this link to find your local NHS library.

New guidelines propose regular heart checks for all Scots over 40

Source: Herald Scotland, 29th April 2010

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Date of publication: April 2010

Publication type: News item

In a nutshell: Guidelines launched in Scotland last month specify that all patients aged 40 and over should be invited to have their blood pressure tested every five years. The standards also state that GPs should check whether their patients are smokers every two years. The manadatory guidelines focus on preventing heart disease, but patients who have developed heart disease will also be given a variety of options to help improve their health under the new standard of care.

Length of publication: 1 webpage

Some important notes: Please contact your local NHS library if you cannot access the full text. Follow this link to find your local NHS library.

Acknowledgement: National Heart Forum

Role of waist circumference in predicting the risk of high blood pressure in children

Source: International Journal of Pediatric Obesity, 2010, 5 (2), 143-150

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Date of publication: April, 2010

Publication type: Research

In a nutshell: This study aimed to evaluate the use of measuring waist circumference to identify children with high blood pressure. The researchers analysed data on body mass index, waist circumference and blood pressure in 3,678 children. The results showed that waist circumference is a controversial marker in high-risk children of normal weight.

Length of publication: 8 pages

Some important notes: You will need an NHS Athens username and password to access this article. Please contact your local NHS library if you cannot access the full text. Follow this link to find your local NHS library.

HEART UK Familial hypercholesterolaemia toolkit

Source: Heart Improvement eBulletin: issue 131, 23 February 2010

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Date of publication: 2010

Publication type: Best Practice

In a nutshell: This toolkit is intended to assist commissioners and service providers with implementation of the NICE FH guideline 71 (2008).  The prevalence of FH, which greatly increases risk of death from premature heart disease,  is thought to be at a level equivalent to type 1 diabetes in the population. Up to 85% of patients with the condition have not yet been identified or treated. The toolkit mainly covers developing services, diagnosing patients and rolling out cascade testing.

Length of publication: 1 website

Some important notes: Please contact your local NHS library if you cannot access the full text. Follow this link to find your local NHS library.

Acknowledgement: HEART UK

Delivering the NHS health check: a practical guide to point-of-care testing

Source: NHS Improvement: heart

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Date of publication: 2009

Publication type: Best practice

In a nutshell: A practical guide, covering the pros and cons of using point-of-care testing (POCT), the issues and challenges, along with possible solutions. Includes useful case studies from PCTs around the UK.

Length of publication: 20 pages

Some important notes: Please contact your local NHS library if you cannot access the full text. Follow this link to find your local NHS library.

Acknowledgement:  Heart Improvement e-bulletin 16 November 2009

Greater Manchester and Cheshire Cardiac and Stroke Network – workstreams/pathways

Source: Greater Manchester and Cheshire Cardiac and Stroke Network

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Date of publication: 2009

Publication type: Website

In a nutshell: The Network’s work programme derives from the local Cardiac Strategy 2008-2011. Workstreams include the following pathways: chest pain, breathlessness, palpitations, adults with congenital heart disease, and cardiac rehabilitation.

Length of publication: 1 website

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Acknowledgement: NHS Improvement: Heart Improvement ebulletin 21 September 2009

New cardiology clinic at the heart of Hounslow

Source: NHS Networks

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Date of publication: October, 2009

Publication type: Press release

In a nutshell: NHS Hounslow, in partnership with Ashford and St. Peter’s Hospitals NHS Trust, has set up a pilot weekly clinic in the community to offer patients access to a hospital consultant, diagnostic tests and treatment normally available only in a hospital setting. The pilot will run for three months and will offer appointments to 10 or 12 patients each week.

Length of publication: 2 pages

Some important notes: Please contact your local NHS library if you cannot access the full text. Follow this link to find your local NHS library.

Acknowledgement: NHS Hounslow and Ashford and St. Peter’s Hospitals NHS Trust

NHS Stockport launches Europe’s first service to reduce avoidable hospital admissions

Source: NHS Stockport

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Date of publication: September, 2009

Publication type: Press release

In a nutshell: NHS Stockport is launching a new service which bridges the gap between emergency services and self-care at home. The Stockport Early Intervention Service (EIS) treats patients with chronic longterm illnesses and ambulatory conditions such as congestive cardiac failure, who are often treated in A&E although their conditions can often be treated in the community. Patients will be referred to the EIS by their GP or community nurse for services ranging from medical advice or diagnosis to investigation and treatment.

Length of publication: 2 pages

Some important notes: Please contact your local NHS library if you cannot access the full text. Follow this link to find your local NHS library.